Sterile Silicone Studs-A Nonpharmacologic Modality for Prevention of Hemodynamic Response to Skull Pin Insertion : A Pilot Study
Copyright © 2023 Elsevier Inc. All rights reserved..
OBJECTIVE: Application of surgical skull pins causes hemodynamic fluctuations in neurosurgical procedures. To reduce this response, we describe the use of a novel nonpharmacologic method in the form of medical-grade sterile silicone studs to cushion the pressure of the skull pin in the adult population. This study aimed to evaluate the use of conventionally used fentanyl and medical-grade sterile silicone studs for the prevention of hemodynamic response to skull pin insertion.
METHODS: A prospective randomized pilot study was conducted of 20 adult patients categorized as American Society of Anesthesiologists class I and II scheduled for elective craniotomy in November 2022 in a tertiary-care hospital in Chandigarh, India. Patients were randomized into 2 groups: fentanyl only (FO group; n = 10) and medical-grade silicone studs (SS group; n = 10). Heart rate and mean arterial pressure were recorded at the following intervals: T1, baseline; T2, before induction; T3, after intubation; T4, before skull pin insertion; T5, T6, T7, T8, T9, and T10 at 0, 1, 3, 4, and 5 minutes after skull pin insertion.
RESULTS: Demographic data (e.g., sex, age, disease pathology) were comparable between the groups. Although changes in heart rate between the 2 groups were comparable, there was a statistically significant decrease in mean arterial pressure from 1 minute to 5 minutes after pinning in patients with silicone studs compared with patients who received only fentanyl.
CONCLUSIONS: The use of medical-grade silicone studs causes fewer hemodynamic fluctuations compared with fentanyl on skull pinning. Further studies with larger sample sizes are required to confirm the findings of this pilot study.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
World neurosurgery - (2023) vom: 08. Juli |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sarna, Rashi [VerfasserIn] |
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| Links: |
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| Themen: |
Fentanyl |
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| Anmerkungen: |
Date Revised 30.07.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.wneu.2023.07.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359243827 |
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| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: Application of surgical skull pins causes hemodynamic fluctuations in neurosurgical procedures. To reduce this response, we describe the use of a novel nonpharmacologic method in the form of medical-grade sterile silicone studs to cushion the pressure of the skull pin in the adult population. This study aimed to evaluate the use of conventionally used fentanyl and medical-grade sterile silicone studs for the prevention of hemodynamic response to skull pin insertion | ||
| 520 | |a METHODS: A prospective randomized pilot study was conducted of 20 adult patients categorized as American Society of Anesthesiologists class I and II scheduled for elective craniotomy in November 2022 in a tertiary-care hospital in Chandigarh, India. Patients were randomized into 2 groups: fentanyl only (FO group; n = 10) and medical-grade silicone studs (SS group; n = 10). Heart rate and mean arterial pressure were recorded at the following intervals: T1, baseline; T2, before induction; T3, after intubation; T4, before skull pin insertion; T5, T6, T7, T8, T9, and T10 at 0, 1, 3, 4, and 5 minutes after skull pin insertion | ||
| 520 | |a RESULTS: Demographic data (e.g., sex, age, disease pathology) were comparable between the groups. Although changes in heart rate between the 2 groups were comparable, there was a statistically significant decrease in mean arterial pressure from 1 minute to 5 minutes after pinning in patients with silicone studs compared with patients who received only fentanyl | ||
| 520 | |a CONCLUSIONS: The use of medical-grade silicone studs causes fewer hemodynamic fluctuations compared with fentanyl on skull pinning. Further studies with larger sample sizes are required to confirm the findings of this pilot study | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Fentanyl | |
| 650 | 4 | |a Heart rate | |
| 650 | 4 | |a Mean arterial pressure | |
| 650 | 4 | |a Pain | |
| 650 | 4 | |a Silicone | |
| 650 | 4 | |a Skull pins | |
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| 700 | 1 | |a Singh, Nidhi |e verfasserin |4 aut | |
| 700 | 1 | |a Bloria, Summit |e verfasserin |4 aut | |
| 700 | 1 | |a Chauhan, Rajeev |e verfasserin |4 aut | |
| 700 | 1 | |a Meena, Shyam |e verfasserin |4 aut | |
| 700 | 1 | |a Luthra, Ankur |e verfasserin |4 aut | |
| 700 | 1 | |a Soni, Vishal |e verfasserin |4 aut | |
| 700 | 1 | |a Mohindra, Sandeep |e verfasserin |4 aut | |
| 700 | 1 | |a Thappa, Priya |e verfasserin |4 aut | |
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